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CITY OF CARMEL
PERMIT RECEIPT
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OPERATOR: vdolan
COpy # 1
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Sec:07 Twp:17 Rng:03 Sub:WCC Blk:A Lot:4
PARCEL ID ..... ...: 1713070012002000
DATE ISSUED.......: 12/13/2004
RECEIPT #.... .....: 16927
REFERENCE ID # .... 04120030
SITE ADDRESS ...... 4335 W 106TH ST #900
SUBDIVISION ......: WEST CARMEL CENTER
CITY .............: CARMEL
IMPACT AREA ......: 421
OWNER ............: GLENDALE PARTNERS OF WEST CARM
ADDRESS ..........: 930 E 66TH ST
CITY/STATE/ZIP...: INDIANAPOLIS, IN 46220
RECEIVED FROM ....:
CONTRACTOR.......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .........
MAXIM SERVICES LLC
LIC # MAXISER
MAXIM SERVICES LLC
6550 N GUION RD. STE. B
INDIANAPOLIS, IN 46268
(317) 290-1080
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
CIIC/O FLAT RATE 1. 00 100.00 0.00 100.00 0.00
CIIREMOD SQUARE FEET 4,000.00 985.00 0.00 985.00 0.00
ICIIFINAL FLAT RATE 1. 00 93.50 0.00 93.50 0.00
ICIIROUGH FLAT RATE 1. 00 93.50 0.00 93.50 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 1272.00 0.00 1272.00 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
2184.00
4040
2184.00
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CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCA nON PERMIT APPLICA nON
For: Remodels & Tenant Finishes: Commercial, Indu5triaI, or Institutional
. Permit #: 04120030
Date: 12/13/2004
PARCEL ID #: 1713070012002000
LOT & SUBDIVISION: 4 WEST CARMEL CENTER
ADDRESS OF CONSTRUCTION: 4335 W 106TH ST #900
Township?: 17 Zoning: B3
PROPERTY OWNER INFORMATION:
Name: GLENDALE PARTNERS OF WEST CARM
Ph. #: 3174721800 Fax #: 3174721802
Street Address: 930 E 66TH ST INDIANAPOLIS, IN 46220
CARMEL, IN 46032
Flood Zone: N
Lot Split: N
TENANT INFORMATION:
Name: NEBO RIDGE
Address: 4335 W 106TH ST #900 CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: MAXIM SERVICES LLC
Ph. #: (317) 290-1080 Fax #: (317) 290-1081 Email: JDCANADA@SBCGLOBAL.NET
Street Address: 6550 N GUION RD. STE. B INDIANAPOLIS, IN 46268
Plumber's Name: ENTERPRISE PLUMBING
Codes for Project: IPC
Special Notes/Conditions:
NEBO RIDGE AT WEST CARMEL CENTER 1 STY. CONSTR
TYPE: EXST; OCCUP.CLASS: M, REM. STATE REL.#:
306486. ARCH, ELEC, MECH, PLUM. ONE CONDITION.
. NO NOTES'
PERMIT TYPE:
COMTENANT ; COMMERCIAL TENANT FINISH
Water Service by: INDPLS
County Well Permit #:
Sewer Service by: CTRWD
County Septic Permit #:
Foundation Type: SLAB
Estimated Cost of Construction: $25000
Manufactured Trusses: N
Sump Pump: N
Usage Class: COM
Construction Type:
State Design Release #: 306486
Square Footage: 4000
This pennit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Release. All construction
must be completed (C/O issued) within two (2) years of the issuance date.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration oE a structure, or any change in the use oE land or structures
requested by this application will comply \vith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - ]993~
(Z- 289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify
that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a
Certificate of Occup:mcyhas been issued by the Department of Community Services, Carmel, Indiana.
FEES:
COM. IND. INST. C/O
C.1.1. REMODEL/TENANT
CII FINAL 93,50
CII ROUGH-IN . 93.50
100.00
985.00
APPLICANT NAME:
JERRY CANADA